Butler Health System · Clarion, PA
29
In-network payers
280
Disclosed rate categories
70
Beds
2
Care quality
Clarion Hospital is a 70-bed voluntary non-profit - private hospital in Clarion, PA, affiliated with Butler Health System. Below you'll find publicly disclosed negotiated rates and facility details, including 29 in-network payers and 280 disclosed rate categories.
CCN (Medicare provider number)
390093
NPI
1265422901
Type
Short Term Acute Care Hospital
Ownership
Voluntary Non-Profit - Private
Beds
70
Care Quality
2
Insurance acceptance may vary by specific plan, network status, and services required. Contact your insurance provider or the hospital's billing department to confirm coverage details.
The 24 services Clarion Hospital most likely performs, ranked by likely volume and what it is paid. Each service names one insurer. * marks hidden insurer names; A, B and C rank the remaining rates from low to high and reset for each service.
Book a demo to see hidden insurer names, more payer rates, and hospital data.
Childbirth · Inpatient
MS-DRG 807
$6,016 - $10,416
from 3 insurers · median $10,335
CMS lists this service as CPT 59400, the obstetrician's global fee. The hospital bills the delivery stay as MS-DRG 807, so these are facility case rates.
Hospital reports obstetrics / child birth services to CMS
Childbirth · Inpatient
MS-DRG 788
$8,947 - $14,813
from 3 insurers · median $14,698
CMS lists this service as CPT 59510, the obstetrician's global fee. The hospital bills the delivery stay as MS-DRG 788, so these are facility case rates.
Hospital reports obstetrics / child birth services to CMS
Medicine & Surgery
CPT 66984
$4,162 - $6,010
from 3 insurers · median $5,164
229 Medicare claims in Level 1 Intraocular Procedures (CMS 2024)
Childbirth · Inpatient
MS-DRG 807
$6,016 - $10,416
from 3 insurers · median $10,335
CMS lists this service as CPT 59610, the obstetrician's global fee. The hospital bills the delivery stay as MS-DRG 807, so these are facility case rates.
Hospital reports obstetrics / child birth services to CMS
CT imaging
CPT 74177
$278 - $908
from 4 insurers · median $720
Common here, based on CMS Medicare volume
Gynecology
CPT 58571
$17,590 - $27,680
from 3 insurers · median $23,571
Typical for a hospital with this service line
Digestive procedures
CPT 45385
$2,023 - $3,116
from 3 insurers · median $2,669
Common here, based on CMS Medicare volume
Medicine & Surgery
CPT 47562
$9,901 - $15,743
from 3 insurers · median $13,209
Typical for a hospital with this service line
Cardiology and vascular testing
CPT 93306
$184 - $1,423
from 4 insurers · median $992
Common here, based on CMS Medicare volume
Digestive procedures
CPT 45380
$2,606 - $3,116
from 3 insurers · median $2,669
Common here, based on CMS Medicare volume
Medicine & Surgery · Inpatient
MS-DRG 473
$24,542 - $37,425
from 3 insurers · median $35,155
Hospital reports orthopedic surgery services to CMS
Digestive procedures
CPT 43239
$244 - $2,362
from 4 insurers · median $1,712
Common here, based on CMS Medicare volume
Medicine & Surgery · Inpatient
MS-DRG 460
$19,024 - $40,186
from 2 insurers · median $29,605
Hospital reports orthopedic surgery services to CMS
Medicine & Surgery
CPT 42820
$13,393 - $15,415
from 2 insurers · median $14,404
Typical for a hospital with this service line
Digestive procedures
CPT 49650
$9,933 - $15,743
from 3 insurers · median $13,209
Typical for a hospital with this service line
Nuclear imaging
CPT 78452
$352 - $3,371
from 4 insurers · median $2,762
Common here, based on CMS Medicare volume
Gynecology
CPT 58661
$11,359 - $15,743
from 3 insurers · median $13,209
Typical for a hospital with this service line
Nuclear imaging
CPT 78815
$900 - $3,724
from 4 insurers · median $3,204
Common here, based on CMS Medicare volume
X-ray and bone density
CPT 71046
$29 - $227
from 4 insurers · median $164
Common here, based on CMS Medicare volume
CT imaging
CPT 70450
$51 - $282
from 4 insurers · median $236
Common here, based on CMS Medicare volume
Gynecology
CPT 58662
$13,209 - $15,743
from 2 insurers · median $14,476
Typical for a hospital with this service line
Gynecology
CPT 58558
$5,392 - $8,430
from 3 insurers · median $7,199
Typical for a hospital with this service line
CT imaging
CPT 74176
$121 - $621
from 4 insurers · median $479
Common here, based on CMS Medicare volume
Orthopedics and pain
CPT 29888
$16,174 - $18,895
from 2 insurers · median $17,534
Typical for a hospital with this service line
Median rate as a percent of Medicare across the outpatient services above, and how many services sit above or below the same insurer's median at nearby hospitals. * marks hidden insurer names. These table labels track the same insurers across services; the labels on each service card reset.
| Insurer | Services | Median % of Medicare | Above nearby | Below nearby |
|---|---|---|---|---|
| Insurer A* | 24 | 255% | 19 | 2 |
| Insurer B* | 23 | 217% | 9 | 0 |
| Insurer C* | 16 | 179% | 0 | 10 |
| Insurer D* | 13 | 40% | 2 | 8 |
How we chose these services: 1 appear in this hospital's own Medicare claims, 10 are common here based on CMS Medicare volume, and 13 are typical for the service lines it reports to CMS. Rates come from insurer and hospital price transparency files as of October 2026. Rates under a quarter of Medicare or over 20 times Medicare are left out as likely physician-fee rows or file errors. Book a demo to see all 300 CMS shoppable services for Clarion Hospital.
One Hospital Drive, Clarion, PA 16214
(814) 226-9500
The nearest hospitals of similar type and size. Their rates are compared with Clarion Hospital for the same insurers and services above.
Punxsutawney Area Hospital
▲ Rates typically 11% higher than Clarion Hospital (18 services)
Ahn Grove City
▲ Rates typically 12% higher than Clarion Hospital (21 services)
Warren General Hospital
▲ Rates typically 10% higher than Clarion Hospital (18 services)
Clearfield Hospital
▲ Rates typically 26% higher than Clarion Hospital (18 services)
Olean General Hospital
▼ Rates typically 30% lower than Clarion Hospital (21 services)
Windber Medical Center
▼ Rates typically 25% lower than Clarion Hospital (20 services)
Butler Memorial Hospital
Upmc Outpatient Center
Geisinger South Wilkes Barre
Geisinger Bloomsburg Hospital
About Clarion Hospital's rates and hospital price transparency.
For CT abdomen and pelvis with contrast (CPT 74177), published negotiated rates at Clarion Hospital range from $278 to $908 across 4 insurers. Aetna's rate is $278. The median at nearby comparable hospitals is $534. What a patient pays depends on their plan's deductible, coinsurance and network status.
For Colonoscopy with polyp removal (CPT 45385), published negotiated rates at Clarion Hospital range from $2,023 to $3,116 across 3 insurers. Blue Cross Blue Shield's rate is $2,023. The median at nearby comparable hospitals is $2,160. What a patient pays depends on their plan's deductible, coinsurance and network status.
For Vaginal delivery, hospital stay (MS-DRG 807), published negotiated rates at Clarion Hospital range from $6,016 to $10,416 across 3 insurers. Aetna's rate is $10,416. What a patient pays depends on their plan's deductible, coinsurance and network status.
Clarion Hospital has 70 beds. Facility type: Short Term Acute Care Hospital.
Clarion Hospital is located at One Hospital Drive, Clarion, PA 16214. Its main phone number is (814) 226-9500.
Clarion Hospital's CMS Certification Number (CCN), also called its Medicare provider number, is 390093.
The National Provider Identifier (NPI) on file for Clarion Hospital is 1265422901.
Clarion Hospital is affiliated with Butler Health System.
Clarion Hospital lists 29 in-network payers, including Aetna, Ambetter, Aspirus Health Plan, BCBS, and is Medicare-certified. Insurance acceptance may vary by plan, so confirm coverage with your insurer or the hospital's billing department.
280 disclosed rate categories. Each shows the payer, category, code type and group with its code range, and contract type, along with how the rate compares with the state average.
Under 45 CFR Part 180, every US hospital must publish a machine-readable file of its standard charges, including gross charges, discounted cash prices and payer-specific negotiated rates, in the CMS template format. PayerPrice can help hospitals publish and maintain these files.
A chargemaster (charge description master, or CDM) is a hospital's master list of billable items, with codes, descriptions and gross charges. A chargemaster review looks at those lines for accuracy and pricing. PayerPrice can help hospitals review their chargemaster; contact us to discuss your needs.
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{
"description": "MRI of brain (no contrast)",
"code_information": [
{ "code": "611", "type": "RC" },
{ "code": "70551", "type": "CPT" }
],
"standard_charges": [{
"setting": "outpatient",
"minimum": 250,
"maximum": 400,
"gross_charge": 1200,
"discounted_cash": 1080,
"payers_information": [
{
"payer_name": "Platform Health Insurance",
"plan_name": "PPO",
"methodology": "fee schedule",
"standard_charge_dollar": 400
},
{
"payer_name": "Region Health Insurance",
"plan_name": "HMO",
"methodology": "fee schedule",
"standard_charge_dollar": 250
}
]
}]
}Your chargemaster sets the gross charge on every claim, and many payer contracts base payment on it through percent-of-charge, lesser-of and stop-loss terms. We audit it line by line and show how your charges and negotiated rates compare with peer hospitals before your next negotiation.
What a review covers